Organization
AFHCPH 1 LP
Active
Organization
AFHCPH 1 LP
Active
Other names
PREMIER HEALTH CARE CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY OURSBOURN (PIC)
(806) 771-3565
Entity
Organization
Contact information
Practice address
4833 50TH ST, LUBBOCK, TX 79414-3418
(806) 771-3565
(806) 771-3560
Mailing address
4833 50TH ST, LUBBOCK, TX 79414-3418
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4543078
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/03/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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